Medicine and Surgery

discussion of clinical cases and compilation of medical records; physical examination; interpretation of radiological and laboratory examinations, resignation letters;

have carried out all the examinations related to the medical area of internal interest

ISBN:9788808820372Titolo:Harrison 2021 - Principi di Medicina Interna. Con versione digitale (fornita elettronicamente)Autori:Harrison - Fauci - Braunwald - Kasper - Hauser - Longo - Jameson - LoscalzoEditore:Casa Editrice AmbrosianaVolume:Opera in due volumiEdizione:XX 2021

mandatory

medical training

medical trainig and discussion of cases

Contents: Clinical case solution: A case of sudden polydipsia and polyuria in a young adult The determination of fasting and after oral glucose test glycaemia and of glycated haemoglobin for the diagnosis of normal glycemia, impaired fasting glucose, impaired glucose tolerance and diabetes mellitus A girl with chylous serum and recurrent abdominal pain A young man with albuminemia and severe hypercholesterolemia Premature myocardial infarction in a patient with hypercholesterolemia and severe family history of early cardiovascular events Hyperuricemia with or without deposition of urate: an emerging risk factor for cardiovascular and metabolic diseases Apple-shaped or pear-shaped? Which obesity is worse? Asymptomatic AST/ALT elevation in a 50 years old man Non-alcoholic fatty liver disease: from liver disease to cardiovascular and metabolic disease

Requirements: Basic knowledge of statistics, history of medicine, basic biology, basics of clinical medicine

Suggested textbooks: Goldman’s Cecil medicine 24th edition Harrison Principles of Internal Medicine 18 edition

As indicated above

Evaluation methods: oral and written exam (solution of clinical cases).

Teaching methods: Lectures, clinical evaluation of hospitalized patients

The student will attend clinics and medical departments in order to acquire skills regarding: - setting up a diagnostic-therapeutic path - recognition of priority and appropriateness in diagnostic-therapeutic interventions - interpretation of instrumental tests - patient’s management

The student must know: - the main organ pathologies - the main signs and symptoms of diseases - collect a complete medical history - being able to perform a complete physical examination - perform an electrocardiogram

- Step - Up per Medicina di Agabegi - Agabebi • 2020 - Equilibrio acido - base - Ossigeno - Fluidi e elettroliti di Schiraldi - Guiotto • 2016 - Harrison 's Principles of Internal Medicine ( 2 Volumes ) di Harrison - Loscalzo - Fauci - Kasper - Hauser - Longo - Jameson • 2022 - SIMI (Societa' Italiana di Medicina Interna ) Handbook - Terapia medica di Corazza - Perticone - Pietrangelo - SIMI • 2022 - Kumar and Clark’ s Medicina interna di Feather - Randall - Waterhouse - Kumar - Clark • 2024 - Algoritmi diagnostico - terapeutici in medicina interna. Autori:Violi. Editore:Edra - Masson. Volume:Unico. Edizione:2021

Attending outpatients clinics and medical departments

Mandatory

The student will be evaluated during the practical activities

2020 Guidelines for Management of Atrial Fibrillation ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation-Management 2019 Guidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases developed in collaboration with the EASD https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Diabetes-Pre-Diabetes-and-Cardiovascular-Diseases-developed-with-the-EASD 2019 Guidelines on Dyslipidaemias (Management of) ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Dyslipidaemias-Management-of 2019 Guidelines on Acute Pulmonary Embolism (Diagnosis and Management of) ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-Pulmonary-Embolism-Diagnosis-and-Management-of 2018 ESC/ESH Clinical Practice Guidelines for the Management of Arterial Hypertension https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Arterial-Hypertension-Management-of Guidelines on Fourth Universal Definition of Myocardial Infarction. ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Fourth-Universal-Definition-of-Myocardial-Infarction 2021 Acute and Chronic Heart Failure Guidelines ESC Clinical Practice Guidelines https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-and-Chronic-Heart-Failure

Attending outpatients clinics and medical departments

Essential objectives of the internship: to acquire ability and to understand the principal diseases in the field of Infectious Diseases, both in the ward and during the consultation activity. This ability will be: acquire the methodological aspects of the diagnostic principles of diseases, whether the disease is an infection or not; be able to organize the diagnostic plan to get to the diagnosis; be able to perform differential diagnosis by means of critical interpretation of clinical and laboratory data; be able to include the surgery, when indicated, in order to perform source control of the infection; know the principal features of pathogens causing the infection; predispose therapeutic, pharmacological and non-pharmacological plans for both acute and chronic phases of infections; know prevention measures and principles of infection control; know the principal isolation measures in case of transmissible diseases or those caused by antibiotic resistant pathogens. The internship will be made through seminars and attendance in Infectious Diseases wards as well as in outpatient clinic and consultation activity in several Hospital wards such as Internal Medicine, Surgery and Intensive Care Units and Emergency Department. In this way, the student will be able to understand the different intensity of cure and the different typologies of infections (ie, nosocomial infections as ventilator-associated infections in the Intensive Care Units, complicated and uncomplicated urinary tract infections; bone and joint infections; meningitis and other infections of the central nervous system at the Emergency Room; sepsis and septic shock; differences among pathogens in different settings of cure or community versus nosocomial infections). Furthermore, the student will be able to understand the basis of the clinical methodology to start an appropriate empirical and targeted therapy. During the outpatient activities, the student will be able to deal with patients with chronic infections such as HIV, endovascular infections, prosthetic joint infections, tuberculosis.

The student must have obtained exams in microbiology/virology/parasitology and laboratory medicine

Testi e bibliografia di riferimento - teacher slides - Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases Autori John E. Bennett, Raphael Dolin, Martin J. Blaser Editore Elsevier - Health Sciences Division 2019 -Harrison - Manuale di Medicina interna - Edizione 2017 Autori: Fauci - Kasper - Hauser - Longo - Jameson - Loscalzo - Harrison ISBN: 9788808680006

student must be present

assessment of preparation through the performance of a physical examination, compilation of a medical record, clinical reasoning, clinical methodology and therapeutic approach

frontal activity in the ward

The neuropsychomotor development Diagnosis and prognosis in child neuropsychiatry The DSM-5 and other classification systems Neurodevelopmental Disorders Developmental psychopathology Methods of assessment and treatment in developmental psychopathology

Basic knowledge of biochemistry, human physiology, and general pathology. Good knowledge of anatomy, pharmacology, and genetics.

DSM-5. Manuale diagnostico e statistico dei disturbi mentali. Raffaello Cortina Zero to three. DC: 0-5. Classificazione diagnostica della salute mentale e dei disturbi di sviluppo nell’infanzia. Giovanni Fortini editore.

Both

Mandatory

The oral test will be aimed at verifying the achievement of the learning objectives.

DSM-5. Manuale diagnostico e statistico dei disturbi mentali. Raffaello Cortina Zero to three. DC: 0-5. Classificazione diagnostica della salute mentale e dei disturbi di sviluppo nell’infanzia. Giovanni Fortini editore.

Teaching will be carried out in accordance with the provisions of current legislation.